Roisin Michelle Brady

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT9358 Issued in NM

Practice address

460 Saint Michaels Dr Ste 1205
Santa Fe, NM 87505-8605

Phone

(505) 490-6160

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stillwater Wellness

  • Multi-Specialty Clinic/Center
  • Santa Fe, NM
  • NPI 1265998314
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1265053623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 1205",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 1205",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058605",
            "telephone_number": "505-490-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ROISIN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT9358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Partners LP
• Cory Bradish
• Mark Stephen Bradley, MD
• Mary E Bradshaw, LPCC
• Mary Bradtke, LMHC
• Brain Injury Services of New Mexico, LLC
• Brain-Body-Spirit- LLC
• Rebekah Jo Brandon, LMHC
• Lydia Grace Brandt
• Nancy Brandt, MA LISW

• Massage Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.